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Tulare County 2019 Health Benefits Enrollment Form IRS Section 125 Participation Form Employee Name: Employee ID#: Please Select those that apply to you: CCA (BU 12) DSA (Bus 13 & 15) All Other Bus
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Begin by obtaining the necessary forms or documents related to the section 125 participation.
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Provide accurate personal information such as name, employer details, and employee identification number, if applicable.
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Who needs 2019 section 125 participation?

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Those who may need the 2019 section 125 participation include:
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- Employees who want to take advantage of pretax deductions for eligible benefits such as health insurance, flexible spending accounts, or dependent care assistance.
03
- Employers who offer section 125 plans to their employees as a way to provide tax savings and additional benefit options.
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- Individuals who are eligible for section 125 participation according to their employment or enrollment status.
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Section 125 participation form is a document used to enroll in a cafeteria plan, also known as a flexible benefit plan, which allows employees to choose from a menu of benefits.
Employees who wish to participate in a cafeteria plan offered by their employer are required to file a section 125 participation form.
Employees can fill out the section 125 participation form by providing their personal information, selecting the benefits they wish to enroll in, and signing the form.
The purpose of the section 125 participation form is to allow employees to choose and enroll in benefits offered through a cafeteria plan, such as health insurance, flexible spending accounts, and retirement savings.
The section 125 participation form must include the employee's personal information, benefit selections, and signature.
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